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Juvenile Sex Offenders: Characteristics, Assessment, and Treatment. By: Dr. Brad Hedges Mid-Ohio Psychological Services 624 East Main Street Lancaster, Ohio 43130 (740) 687-0042 [email protected] Introductions. Name Position

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juvenile sex offenders characteristics assessment and treatment

Juvenile Sex Offenders: Characteristics, Assessment, and Treatment

By:

Dr. Brad Hedges

Mid-Ohio Psychological Services

624 East Main Street

Lancaster, Ohio 43130

(740) 687-0042

[email protected]

introductions
Introductions
  • Name
  • Position
  • Experience with Perpetrators/Victims
  • One Unique Term for Sexual Anatomy
goals
Goals
  • Normal/abnormal sexual behavior
  • Dynamics of sexual offenders
  • Uniqueness of various offender populations
  • Multi-system needs
  • What is good assessment?
  • Treatment options
agenda
Agenda
  • Theoretical
    • Normal vs. Abnormal Sexuality
    • Developmental Sexuality
    • Why do they do it?
  • Practical
    • Disclosure/initiation
    • Assessment
    • Intervention
    • Case closure/reunification
why are we here
Why are we here?
  • Reduce victimization
  • Help youth “normalize” sexual behavior
what is abnormal sexual behavior
What is “abnormal” sexual behavior?
  • Statistical norm?
  • Community standard?
  • DSM IV?
  • Personal value?
  • Legal Definition?
exercise what is normal sexual behavior
Exercise: What is “normal” sexual behavior?
  • What is the developmental task of this age group?
  • What is the normal overt sexual behavior for this age?
  • What do they do in secret?
culpability
Culpability
  • Mental Culpability
  • Physical Culpability
  • Sexual Culpability
culpability21
Culpability
  • Mental Culpability
    • Intelligence
    • Developmental Status
    • Moral Development
    • Amount of planning/grooming used
    • Previous condemnation for behavior
    • Absence of inhibitors

Adapted from Jan Hindman

culpability cont
Culpability (cont.)
  • Physical Culpability
    • Size Difference
    • Amount of Force/Coercion Used
    • Number of Contacts
  • Sexual Culpability
    • Sexual Knowledge
    • Personal Victimization
    • Sexual Behavior Experience
    • Variety of Sexual Behavior With “Contact”

Adapted from Jan Hindman

evaluating the sexual behavior of children
Evaluating the Sexual Behavior of Children
  • Read each case as a group
  • Apply concept of culpability
  • Review range of sexual behavior
  • Decide if Normative/Concern/Abusive
who are offenders
Who are offenders?
  • Are they Male/Female?
  • Are they Young or Old?
  • What is their IQ?
  • Are they Rich/Poor?
  • Are they from certain cultural groups?
etiology of sexual deviancy
Etiology of Sexual Deviancy

Biological

Issues

Developmental

Issues

Personality

Characteristics

Environmental

Issues

ABUSE

  • Life Stressors
  • Substance Abuse
  • Rejection
  • Other
  • Hormonal Imbalances
  • Brain Structure Problems
  • Appearance Issues
  • Traumatic Events
  • Family of Origin Structure
  • Deviation from “Normal
  • Sexual Development”
  • Aggression
  • Socialization
  • Addiction

Preconditions

  • Motivation for Abuse
  • Internal Inhibitors
  • Access to Victims
  • Overcome Victim Resistance
  • 1991 Bradley A. Hedges
circumplex model
Circumplex Model

Chaotic

Disengaged

Enmeshed

Rigid

David Olson, Candyce Russell, Douglas Sprenkle, 1979

other family dynamic issues
Other Family Dynamic Issues
  • Intergenerational issues
  • Communication patterns
  • Conflicting parental roles
  • Emotional deprivation
  • Abuse of power
the paradigm shift
The Paradigm Shift
  • Who is the client
  • What is the goal of intervention
  • Personal values
  • Limits of confidentiality
meagan s law
Meagan’s Law
  • Now applies to both adults and kids
  • Requires various levels of notification for Sexual Predators, Habitual Sexual Offenders, and Sexually Oriented Offenders
  • Big Problems!
    • No clear criteria
    • Decreases conviction rates
    • False sense of security: People identified who are not a risk, fail to identify people who are a risk
guiding ethical concepts
Guiding Ethical Concepts
  • Non-malfeasance
  • Beneficence
  • Autonomy/least restrictive environment
case planning phases
Case Planning Phases
  • Disclosure/panic phase
  • Assessment phase
  • Intervention phase
    • Client treatment
    • Placement/supervision
  • Closure phase
exercise
Exercise
  • What is the task to be accomplished in each phase?
  • What emotions must be managed in each phase?
  • What are the overt/covert needs in each phase?
  • What resources are needed in each phase?
disclosure phase
Disclosure Phase
  • Gather as much information as possible
  • Stabilize the situation
slide35

“Sexually abusive youth should always be removed from the home when the victim is in the family unit, at least during the assessment phase of intervention.”

(The Revised Report for the National Task Force on Juvenile Sexual Offending, 1993 of the National Adolescent Perpetrator Network, p.18)

assessment
Assessment

Performed by competent evaluator

Culturally sensitive

Comprehensive/ongoing

Must include collateral information

Must be offense specific

goal of assessment
Goal of Assessment

Identify factors contributing to offence

Environmental factors

Familial factors

Individual factors

Assess risk for further acting out

Provide recommendations for intervention

risk assessment
Risk Assessment
  • Clinical Assessment
    • Based on clinical experience and describes the interaction of dynamic factors
  • Actuarial Assessment
    • Based on statistical analysis of known recidivists
    • Best predictors include:
      • Age of Victim
      • Level of Habituation
      • Gender of Victim
structure of assessment
Structure of Assessment

Procedure

Background information

Sexual history

Offence

Etiology

Risk assessment

Intervention recommendations

intervention
Intervention

Supervision

Treatment

+

Intervention

prosecution should be a component of most interventions in juvenile offenses
“Prosecution should be a component of most interventions in juvenile offenses”

(The Revised Report for the National Task Force on Juvenile Sexual Offending, 1993 of the National Adolescent Perpetrator Network, p.18)

continuum of supervision
Continuum of Supervision

Incarceration

Free in Society

control of environment
Control of Environment

Electronic monitoring

Assessing environment

Random checks/changing routine

treatment
Treatment

Group vs. Individual

Sex Education

Social Skills

Relationship Skills

Fantasy Management

Victim Empathy

Relapse Prevention

Family Therapy

reunification
Reunification

Not always appropriate

Must be done incrementally, based on victim/perpetrator dynamics

Follow guidelines

Utilize feedback of monitors/treatment providers

exercise47
Exercise

I am __________________ (victim/perpetrator/father/mother/sibling)

and my greatest concern is __________________________

and I feel ________________________________________

juvenile sex offenders characteristics assessment and treatment48

Juvenile Sex Offenders: Characteristics, Assessment, and Treatment

By:

Dr. Brad Hedges

Mid-Ohio Psychological Services

624 East Main Street

Lancaster, Ohio 43130

(740) 687-0042

[email protected]

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